Provider Demographics
NPI:1780192609
Name:HILLARY SIEDLER, PHD, PC
Entity Type:Organization
Organization Name:HILLARY SIEDLER, PHD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:MIA
Authorized Official - Last Name:SIEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-230-7006
Mailing Address - Street 1:PO BOX 1814
Mailing Address - Street 2:
Mailing Address - City:ENKA
Mailing Address - State:NC
Mailing Address - Zip Code:28728-1814
Mailing Address - Country:US
Mailing Address - Phone:828-230-7006
Mailing Address - Fax:888-974-0987
Practice Address - Street 1:206 MERRIMON AVE STE 4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1230
Practice Address - Country:US
Practice Address - Phone:828-230-7006
Practice Address - Fax:888-974-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2697103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty